局部阻滞对骶髂关节致密性骨炎所致产后腰骶痛的疗效观察

Therapeutic efficacy of local block in puerperous lumbosacral algesia caused by sacroiliac condensing osteitis

目的观察局部阻滞对骶髂关节致密性骨炎所致产后腰骶痛的疗效。方法 200例骶髂关节致密性骨炎所致腰骶痛产妇随机分为观察组和对照组。观察组给予局部阻滞联合物理治疗,对照组仅行物理治疗。比较3、6、12个月两组疗效及12个月后体征变化。结果观察组疗效及治疗后骶髂关节部叩痛、压痛腿抬高、骨盆挤压分离、腰骶扭转均优于对照组,差异有统计学意义(P<0.01)。结论局部阻滞可有效治疗骶髂关节致密性骨炎所致产后腰骶痛。

Objective To observe the therapeutic efficacy of local block in puerperous lumbosacral algesia caused by sacroiliac condensing osteitis. Methods Two hundred puerperas with sacroiliac condensing osteitis-induced lumbosacral algesia were randomly divided into two groups. The observation group received local block and physical therapy, while the control group only accepted physical therapy. The curative effect in 3, 6 and 12 months and the signs in 12 months were compared between both groups. Results The therapeutic efficacy at 3 time points and percussion pain on the sacroiliac joint, elevation of tender leg, pelvic squeeze and separation, and lumbosacral torsion in 12 months in the observation group were superior to those in the control group（P〈0.01）. Conclusion Local block is effective for treating puerperous lumbosacral algesia caused by sacroiliac condensing osteitis.